What is an erection problem?

A condition mainly affecting males over 40- 50 years of age. Erection problem is caused due to various reasons but can be treated. But if an erection problem is not given proper attention and treatment for a long time may lead to severe social and mental problems. 

Erection problems are often called impotence or failure to achieve and maintain penile rigidity to the extent of good sex. According to certain research studies, it has been estimated that if the erection problem persists for more than six months may cause serious health issues.   

Types of Erection Problems 

  • 1. Organic Erectile Dysfunction (Inability to obtain and sustain an erection)
  • 2. Erection problem in diabetic patients
  • 3. Erection problems in depressed individuals
  • 4. Hormone-induced erection problems
  • 5. Nerve-induced erection problems
  • 6. Drugs-induced erection problems

Causes of Erection Problems

Any condition that affects arteries of penile structures, smooth muscles, nerves, hormonal levels, and endothelium leads to erection problems.


It is a crucial factor contributing to erection problems. With age, health issues like cardiovascular diseases and hypertension increase significantly, affecting several body systems and eventually deteriorating erectile functioning.

Cardiovascular Disease 

Significant factor for erection problems leading to erectile dysfunction. Examples include: coronary artery disease may cause the development of atherosclerotic arteries followed by blockage of small penile arteries.

  • 1. Neurological diseases (like multiple sclerosis)
  • 2. Hormonal causes (for example – hypogonadism and thyroid)
  • 3. Trauma (for example – pelvic fractures and spinal cord injuries)
  • 4. Hyperlipidemia
  • 5. Stroke
  • 6. Sleep apnea
  • 7. COPD
  • 8. Glaucoma
  • 9. Multiple sclerosis
  • 10. Sequela of priapism
  • 11. Depression
  • 12. Prostatic hyperplasia – with LUTS ( lower urinary symptoms )
  • 13. Iatrogenic (for example; post transurethral resection of prostate)
  • 14. Various medications (anti-depressants, antipsychotics, and opioids)

Erection problems are related to the following health issues:

  • 1. Cardiovascular disease
  • 2. Diabetes mellitus
  • 3. Hyperlipidemia
  • 4. Hypertension

Which medicine is best for erection problems?

The first line or most common choice of doctors to treat erection problems is PDE 5 inhibitors. 

Oral medications for erection problems: These medications help improve erection problems by enhancing the release of nitric oxide and its effect on penile muscles. Some of the medications for improving erection are :

  • 1. Sildenafil (Viagra)
  • 2. Vardenafil (Staxyn, Levitra)
  • 3. Tadalafil (Cialis)
  • 4. Avanafil (Stendra)

According to medical research, it has been shown that inhibitors of PDE5 (phosphodiesterase type 5) are effective in improving erection problems. Therefore, the drugs that inhibit the functioning of PDE5 treat ED (Erectile dysfunction).  

PDE5 is the enzyme present in the walls of the blood vessel to control the flow of blood. When a male gets aroused, certain enzymes are released to relax the penile muscles and help engorge them with blood. The drugs acting as PDE5 inhibitors will block these enzymes’ degradation process. Eventually, the flow to the penile tissue increases and allows the perfect erection of the penile tissue.

Erection problems at 50

Health problems like diabetes, heart disease, and hypertension become more prominent, thus leading to ED (Erectile dysfunction). It has been estimated that after 50 years of age, the most common cause of erection problems occurs due to hardening arteries or atherosclerosis.

Erection problems 40

Impotence or erection problems are common these days for men over 40. According to a study, almost 40 % of men experience erection problems and reduced sexual performance. Some causes of erection problems in the 40s can be hormonal problems or anti-depressants.

Ayurvedic treatment for erection problems

  • 1. Dhajabhangaja Klaibya
  • 2. Ashwagandha
  • 3. Shatavari
  • 4. Safed Musali
  • 5. Gokshura
  • 6. Tulsi Beej

Risks factors of erection problems 

Most common risk factors associated with erection problems:

  • 1. Heart disease.
  • 2. Clogged blood vessels (atherosclerosis)
  • 3. High cholesterol.
  • 4. High blood pressure.
  • 5. Diabetes.
  • 6. Obesity.
  • 7. Metabolic syndrome [ high BP (blood pressure), high levels of insulin, excess body fat, high cholesterol]. 
  • 8. Parkinson’s disease.

Home remedies for treating erection problems 


having a balanced diet comprising fruits, vegetables, legumes, nuts and fish. Avoid processed food and red meat.


Improved physical activity help with ED. For example, running, brisk walking, bicycling, swimming, and skiing lower stress and maintain healthy blood vessels. There should be some regular exercises included in the daily schedule. 


Sleep help improve overall physical and mental health. A lot of sleep disorders have been seen to affect the erection of the penis in men. For example, obstructive sleep apnea has been shown to increase the risk of ED. Less sleep also disturbs the hormonal levels, especially testosterone levels.

Lose weight

According to research studies, obese or overweight individuals have more chances of erectile dysfunction. Losing weight in a health-conscious manner has provided improvement in ED.

Stop smoking

Smoke from cigars destroys blood vessels and restricts blood flow to and from the penis. Smoking has another worse impact on penis relaxation as it reduces nitric oxide availability. Smoking cessation help revert erection problems.

Improve mental health

Reduce anxiety or stress and avoid situations that enhance depression. Intense stress disturbs normal hormonal levels. Try to go for stress management activities.

Frequently Asked Questions

What can cause a man not to erect?

There are various reasons behind no erection:

  • 1. A lot of stress
  • 2. Intensive tiredness
  • 3. Anxiety
  • 4. Excessive drinking
  • 5. Atherosclerosis (clogged vessels of penile tissue)
  • 6. Overweight
  • 7. Sedentary lifestyle
  • 8. Smoking
  • 9. Chronic kidney disease
  • 10. Poor blood flow

Do erection problems go away?

Yes, erection problems are practical and can go away with specific treatment according to the cause of the erection problem. Various lifestyle changes, counseling, herbal treatments, and certain surgeries may help with erection problems.

How can I treat the erection problem?

Oral medications or pills called PDE 5 inhibitors have been prescribed like

  • 1. Viagra
  • 2. Cialis
  • 3. Levitra
  • 4. Stendra
  • 5. Testosterone Therapy (in case of low levels of testosterone in the blood)
  • 6. Penile Injections ( Intracavernosal Alprostadil)
  • 7. Intraurethral medication

How can I regain erectile strength?

To regain the erection stregth 

  • 1. In case a person smokes, he must quit.
  • 2. Must have changes in diet
  • 3. Get proper sleep
  • 4. Lose excess pounds
  • 5. Inculcate physical activities and outdoor games
  • 6. Try solving relationship issues
  • 7. A cock ring works sometimes
  • 8. Have prescribed supplements

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